CHRONIC URTICARIA ASSOCIATED WITH E. ENTEROCOLITICA
Abstract
6 persons at the age of 17-38 years with unspecified chronic urticaria were observed. Urticaria with various recurrence rate was manifested at the persons had been observed from 0,5 to 4 years. Before illness occurred, all patients noted diarrhea (2-10 weeks) within different periods whereas 4 patients had subfebrile short-term fever. All patients suffered from moderate arthralgia. Based on laboratory testing results the auto-immune, bacterial and viral diseases were excluded. Diagnosed yersiniosis was confirmed at 5 patients by way of testing the specific IgM antibodies of serovars О:3, О:4, О:6, and, additionally, 3 patients had IgG antibodies of serovars О:3, О:4, О:9 whereas 4 patients had IgG antibodies in Westernblot reaction. Treatment included antibacterial medications and glucocorticosteroids.
References
2. Powell R.J., Du Toit G.L., Siddique N., Leech S.C., Dixon T.A. et al. BSACI guidelines for the management of chronic urticaria and angio-oedema. Clin. Exp. Allergy. 2007; 37: 631-645.
3. Magerl M., Borzova E., Gimenez-Arnau A., Grattan C.E.H., Lawloret F. et al. The definition and diagnostic testing of physical and cholinergic urticarias-EAACI/GA2 LEN/EDF/UNEV consensus panel recommendations. Allergy. 2009; 64: 1715-1721.
4. Таха Т.В., Нажмутдинова Д.К. Хроническая крапивница: препарат выбора. РМЖ. 2016; 10: 618-622.
5. Kozel M., Sabroe R. Chronic Urticaria. Aetiology, management and current and future treatment options. Drug. 2004; 64: 2516-2536.
6. Greaves M.W. Chronic urticarial. J. Allergy Clin. Immunol. 2000; 105: 664-672.
7. Zuberbier Т., Asero R., Bindslev-Jensen C., Walter G. Canonica, Church M. K. et al. EAACI/GA2LEN/EDF guideline: management of urticarial. Allergy. 2006; 61: 321-331.
8. Wedi B., Kapp A. Urticaria and angioedema. Allergy: Practical Diagnosis and Management. Mahmoudi M. (Ed.). New York: McGraw Hill; 2008: 84-94.
9. Calado G., Loureiro G., Machado D., Tavares B., Ribeiro C. et al. Streptococcal tonsillitis as a cause of urticaria tonsillitis and urticarial. Allergol. Immunopathol. 2012; 40 (6): 341-345.
10. Шестакова И.В., Ющук Н.Д. Хронический иерсиниоз как терапевтическая проблема. Терапевтический архив. 2010; 82 (3): 71-77.
11. Шестакова И.В., Ющук Н.Д., Андреев И.В., Шепелева Г.К., Попова Т.И. О формировании иммунопатологии у больных иерсиниозом. Терапевтический архив. 2005; 11: 7-10.
12. Домашенко О.М. Генералізовані форми єрсиніозу і псевдотуберкульозу: клініко-патогенетичні та епідеміологічні особливості, оптимізація лікування: автореф. дис. … доктора. мед. наук. Киiв; 2009. 36.
13. Сидельникова С.М., Ющенко Г.В., Асеева Э.М. Иерсиниозы как терапевтическая проблема. Терапевтический архив. 2000; 11: 27-30.
14. Иерсинии и иерсиниозы. Под редакцией проф. Г.Я. Ценевой. СПб.; 2006. 168.
